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Ovarian torsion — ACEM Fellowship MCQ

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HardOB/GYN emergenciesOvarian torsionACEM Fellowship

A 24-year-old woman presents to a Wellington ED, triage category 2, with sudden unilateral pelvic pain and vomiting. Pregnancy test is negative. Examination shows right adnexal tenderness, WCC 13 and ultrasound access is available without delaying gynaecology review. What is the most appropriate investigation?

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Correct answer: C — Urgent pelvic ultrasound with Doppler

Sudden unilateral pelvic pain and vomiting suggest torsion; urgent ultrasound assists diagnosis without delaying gynaecology review.

Reference: RANZCOG acute pelvic pain; ACEM gynaecology curriculum